Prehospital Notification by Emergency Medical Services Reduces Delays in Stroke Evaluation: Findings From the North Carolina Stroke Care Collaborative

Individuals with stroke-like symptoms are recommended to receive rapid diagnostic evaluation. Emergency medical services (EMS) transport, compared with private modes, and hospital notification before arrival may reduce delays in evaluation. This study estimated associations between hospital arrival...

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Bibliographic Details
Published in:Stroke (1970) 2011-08, Vol.42 (8), p.2263-2268
Main Authors: PATEL, Mehul D, ROSE, Kathryn M, O'BRIEN, Emily C, ROSAMOND, Wayne D
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Brain - diagnostic imaging
Delayed Diagnosis
Diagnostic Imaging
Emergency Medical Services
Female
Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy
Hospitals
Humans
Male
Medical sciences
Middle Aged
Nervous system (semeiology, syndromes)
Neurology
North Carolina
Radiography
Stroke - diagnosis
Time Factors
Vascular diseases and vascular malformations of the nervous system
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Summary:Individuals with stroke-like symptoms are recommended to receive rapid diagnostic evaluation. Emergency medical services (EMS) transport, compared with private modes, and hospital notification before arrival may reduce delays in evaluation. This study estimated associations between hospital arrival modes (EMS or private and with or without EMS prenotification) and times for completion and interpretation of initial brain imaging in patients with presumed stroke. Among patients with suspected stroke identified and enrolled by the North Carolina Stroke Care Collaborative registry in 2008 to 2009, we analyzed data on arrival modes, meeting recommended targets for brain imaging completion and interpretation times (
ISSN:0039-2499
1524-4628
DOI:10.1161/STROKEAHA.110.605857